SCENIC CITY NEUROTHERAPY KETAMINE AND TMS
NPI 1366077539
Nurse Anesthetist, Certified Registered in Chattanooga, TN

Active since March 09, 2020
7405 SHALLOWFORD RD STE 240, CHATTANOOGA, TN 37421(423) 228-0579 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 19, 2023, Mar 9, 2020 (2 updates tracked since 2020).

About Scenic City Neurotherapy Ketamine And Tms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCENIC CITY NEUROTHERAPY KETAMINE AND TMS (NPI 1366077539) is a healthcare organization registered as a nurse anesthetist, certified registered in Chattanooga, Tennessee and active in the NPI registry since March 2020. The organization lists Charles Brian Miller, Cmo, as its authorized official.

NPPES Registry Identity

NPI1366077539
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameSCENIC CITY NEUROTHERAPY AND KETAMINE CENTER LLC
Location Address7405 SHALLOWFORD RD STE 240Chattanooga, TN 37421-2662
Mailing Address7405 Shallowford Rd Ste 240Chattanooga, TN 37421-2662 · (423) 228-0579 · Fax (423) 702-6025
Organization SubpartNo
Authorized OfficialCharles Brian MillerCmo · (423) 290-2411
Enumeration DateMarch 9, 2020
Last NPPES UpdateNovember 29, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1366077539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
7405 SHALLOWFORD RD STE 240, Chattanooga, TN 37421

Other Names 1

Doing Business AsScenic City Neurotherapy Ketamine And Tms

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scenic City Neurotherapy Ketamine And Tms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Scenic City Neurotherapy Ketamine And Tms, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Psychiatry
NPI 1407188626
7351 COURAGE WAY
Chattanooga, TN 37421
(423) 499-2300
✔ PECOS✔ Accepts Medicare1.0 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1376087502
7918 SELCER RD
Hixson, TN 37343
(423) 290-2411
✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scenic City Neurotherapy And Ketamine Center LLC's NPI number?

The NPI number for Scenic City Neurotherapy And Ketamine Center LLC is 1366077539. It was assigned to this organization in the NPPES registry on March 9, 2020. The provider is doing business as Scenic City Neurotherapy Ketamine And Tms.

Where is Scenic City Neurotherapy And Ketamine Center LLC located?

Scenic City Neurotherapy And Ketamine Center LLC is located at 7405 Shallowford Rd Ste 240, Chattanooga, TN 37421. The listed phone number is (423) 228-0579.

What is Scenic City Neurotherapy And Ketamine Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Scenic City Neurotherapy And Ketamine Center LLC enrolled in Medicare?

Yes. Scenic City Neurotherapy And Ketamine Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scenic City Neurotherapy And Ketamine Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Scenic City Neurotherapy And Ketamine Center LLC, in Certified Registered Nurse Anesthetist (CRNA) and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Scenic City Neurotherapy And Ketamine Center LLC was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.